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将研究转化为日常临床实践:从美国牙科实践为基础的研究网络中获得的经验教训。

Translating research into everyday clinical practice: lessons learned from a USA dental practice-based research network.

机构信息

Department of Restorative Dental Sciences, University of Florida, Gainesville, FL, USA.

出版信息

Dent Mater. 2013 Jan;29(1):3-9. doi: 10.1016/j.dental.2012.07.159. Epub 2012 Aug 11.

Abstract

OBJECTIVES

This paper discusses practice-based research (PBR) as a means to speed up the translation of research findings to clinical practice. It also reviews repair versus replacement of defective restorations as one example of the delay in the application of research findings to clinical practice.

METHODS

Despite the existence of clinical studies, a significant delay exists between the generation of new knowledge and its application into the medical/dental community and their patients. One example is the repair of defective dental restorations. About 75% of practitioners in general dental practices do not consider the repair of dental restorations as a viable alternative to the replacement of defective restorations. Engaging and partnering with health practitioners in the field on studies addressing everyday clinical research questions may offer a solution to speed up the translation of the research findings.

RESULTS

Practice-based research (PBR) offers a unique opportunity for practitioners to be involved in the research process, formulating clinical research questions. Additionally, PBR generates evidence-based knowledge with a broader spectrum that can be more readily generalized to the public. With PBR, clinicians are involved in the entire research process from its inception to its dissemination.

SIGNIFICANCE

Early practitioner interaction in the research process may result in ideas being more readily incorporated into practice. Clinical studies are of paramount importance for testing and translation of the research findings to the community.

摘要

目的

本文讨论了实践基础研究(PBR)作为加速将研究发现转化为临床实践的一种手段。它还回顾了修复有缺陷的修复体与更换修复体作为研究发现延迟应用于临床实践的一个例子。

方法

尽管存在临床研究,但新的知识产生与其在医学/牙科界及其患者中的应用之间仍然存在显著的延迟。一个例子是修复有缺陷的牙科修复体。在一般牙科实践中,约 75%的从业者不认为修复牙科修复体是替代有缺陷的修复体的可行方法。与该领域的医疗从业者合作并参与解决日常临床研究问题的研究可能是加速研究结果转化的一种解决方案。

结果

实践基础研究(PBR)为从业者提供了一个独特的机会,让他们参与研究过程,制定临床研究问题。此外,PBR 产生了具有更广泛范围的基于证据的知识,更易于推广到公众。通过 PBR,临床医生从研究的开始到传播都参与了整个研究过程。

意义

在研究过程中尽早让从业者参与可能会使这些想法更容易被纳入实践中。临床研究对于检验和将研究结果转化为社区至关重要。

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